1991, 12-04 Permit 91008364 WoodstoveSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REOUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
P E R
NUM -2B
BI
A
CONT
cs
A.DDRE
ITEM DES
........................
PROCE—
W(](33D:S' T
NI'VE.IRSI TY RD
WA —.NM
PLAT f i!flCEi. _:: ORE?
DWE._E-.INGE:::
WALLACE E
VEBSITY RD
WA 992 6
E's .l. G E_E
:1HANN7:t: r'AL.. PERM
—TE= "i :2/04 9 1 PAGE= 1
.-,•-,CE. !. n.
4�6
OPP
ONE== 509 924 0891
F'EHEOrNE:. N€.UMBEE=
FEE:. AMOUNT
is isu. . nNif:rt i°:dt. :k*¥....k..' %*s:.n.b:*¥'.k..R..N:ro; i--'ni, f, sT S
............... a rriF:itf ,:.f.iFtFlaes=''r` ufia;**;r.fexm;ai.}s..,,;.�..h.�..ft.
PER
MECH A
PAYMENT DATE
12/04/91
TOTAL
AL DUE=
RE(;EIPT41,
9194
., 0 0 TOTAL PAID::,
PAYMENT' AMOUNT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
50,00 0400 .
50.:0o 50 ..00 .:oo
) LETROVIC::H, ROBIN
i:TROV:[C':I-I, ROBIN
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